Organization
THE BEAUTY BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLESHA L JOHNSON (OWNER/PROVIDER)
(423) 227-6279
Entity
Organization
Contact information
Practice address
3851 RAE TRL, CHATTANOOGA, TN 37406-2761
(423) 227-6279
Mailing address
4706 BRAINERD RD, SUITE115, CHATTANOOGA, TN 37411-3829
(423) 227-6279
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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